Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
P - 35182
Builc�ing Inspections 763-572-3604 763-502-4977 FAX DATE__ /�� // SITE ADDRESS � TH[S APPLICANT [S: PROPERTY OW1vER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE AND CERTIFICATE OF INSURANCE PROPERTY TYPE BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY EFFECTNE 1-1-20ll YO�UpR E-MAIL ADDRESS /P� OWNER ❑'CONTRACTOR Permit No.:����� Received By;� Date Rec'd: � ( �� t � ` NAME: A/°! QZ ADDRESS: �D ��O �12 /�CJ'Yl /// �Sl-/ v � CITY �!(LIP�( STATE�ZIP��� PHONE:_��j3—S�y �--�� 6 H'i IOIZ'-3ZS- .5��63 � � NAME: c �r'� STATE L[CENSE PHONE (�l'!L^ (7[�7� ZKbL 6ZSINGLE FAMILYJNEW CONSTRUCTION ❑ TWO FAMILYMEW CONSTRUCTION PERMIT TYPE I � �DITION ❑ BASEMENT FINISH �DECK TY.PE OF WORK: ❑ NEW HOME CONSTRUCTION � MAINTENANCE/REPAIR DESCRIBE WORK BEING ROOFING NUMBER OF SQUARES _ GARAGES PROPOSED SIZE: PROPOSED HEIGHT: IDING ❑ Vinyl ❑ Aluminum 0 Other LEAD CERT NL)MBER CITY STATE�ZIP�2 FAX SIZE ❑ ROOF ❑ DRAIN TILE ❑ SIDING ❑ OTHER ❑ SWIMMfNG POOL �ADDITION � REMODELING ❑ HOUSE ONLY ❑ HOUSE & GARAGE ❑ ATTACHED GARAGE ❑ DETACHED GARAGE ❑Soffit O Trim ❑ Fascia WINDOWS IN EXISTING OPENMGS ❑Yes ONo LACATION OF WINDOWS OR FOR NEW OPENMGS-DESCRIBE SIZE OF OPENING CHANGES & � � BASEMENT REMODELING SUBMIT: I. Existing Floor Plan 2. Proposed floor plan 3. List of structural members to be used FOR NEW CONSTRUCTION MCLUDTNG DECKS, ADDITIONS. & PORCHES SUBMIT: 1. Site P{anlSurvey showing the existing structures and proposed project. 2. Two sets of construction plans 3. Energy Calculations FOR WINDOWS - PROVIDE U-VALUE AND MANUFACTURE STICKER ON WINDOW. TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ' � ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: � (USI�G THE 1997 U.B.0 FEE SCHEDULE) fOTAL JOB VALUATION $ °C� a� Ir� � OCCUPANCY TYPE Permit Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due $ $ $ $ $ $ See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valuation .0005 x Permit Valuation Minimum $5.00 $5.00 (State Licensed Residential Contractors) $2230 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$25=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks �avable to: Citv of Fridiev Attach THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit on site; that the work will be in accordance with the approved plan in the case of al �or w�c qu�res review and approval of pla!n�. �y SIGNATURE OF APPLICANT �• ��� PRINT NAME t7h7Nlly ��f'7ZZ DATE 7-�75 " II APPROVAL INSPECTOR SIGNA RE . ,rt� s'------ . . 0 CERTI�ICATE �F S��VEY � . � � r� j.i � ..� i i.l� ;C . . � 1 �L�� _ �� �I � -.�, ���r �� _ _�.�__ , I � 2S � 120(.00 ' .� .. ,.�;... s3 a � � s �.- ; j 61 �s �. I { �` L6 � °' (n . i y �, m � s e '� � C . � � w �� I o . . � � L .� , o � = � 9 � ° � °o, � � � -Y v� �r '- � C � 1 ut =� ;� - t� 1 . I � tf1 � s � r � J� � r � ; � d r � ,.;-. <: � fc�vndnt�on � i ' ; � �`� I I = W � �. � .. � fi Q ,� i� � '� . '-,I ,. - �_`»� QS-� • '" � ' �� E)C ( S ll u"'� o'►" �� S ll� � � '� /-. - v 12 .00 � i i � � � 25 �� � I � -� . �-C? �; Deno�P�s Iron Monument � — ��j�Rev+sed 5- ��'i5 To Show Founda���oR � � __ � . �: . _ � 1 O: . O �, . � . '1 C C: .. !r r �• - r �: Q� . . . +-••-• . , -..0..':' � G1:. .', � , 1:.?'.. ��-- �--- � � � �^; V;�� ' �' �,, � t� ' , � . .. . x^ _ .�._..4- k i � � In `� l� � � � . 5 �( �ou�n 't= L �act�i frc� �« r� �i� oi�.� ' i . . (.�. � ' • ' .. ' 1:, . , ; . . . . . , . . . . .; � � _ <� I � 53 � �4 � ��'s , �} --1 i , b % G j° � i c �� �..�� ,�, ,rl � �.., i. ,i. .. � .:ti�r .. i �•.i..�...� �.i I � 1„ . , •i�.. . , . � ., .. cl . '}i, ,�,.���,!� ,` .�I' t�., ,.� �� �, ;�, •!, !i� . �� .� ,r i1 .. , .,, �,. „ � � � ��; . ,. .,,,,, , , , . . . . ... , , li:• , ..� �� " , . 19 �� ,�� l5 . � '. ,� . Ap�� :� . . � � .� CJ �}� :i.'L� 7_ t.Q.:rit�A _ ., � //. . •. , , •, . 1U9� 205 - 8-�a 1�� ° 40 � ���� ; � � r yt ` .,�` : ,� 4,� j. �.��_, �4 { 4 �' ��2� 2 � �� ��Uv��w d�1 +�/ � � - ' � r� i k . - � ... . �� �-f-�''�� � �--t��. ;�.'-T �.E.."t 1 6 i i ��, � E} 4..#i. i-�t, �.. ��;t� ��::,g } � , _, - fi .:�-:�t�_.L �. .... �,�` � �__ � �t� G�'C': Q�o.� F �d,y- t j£ � ; t �.�."+.� _ "� . . , L... j ... . t . � t � ' 2� � �.I S'�i i�Cr � � .. . � �4 . �. �� �w_:� .. . + "_'. I . .. ... � � � �t: � t '� i .'�_, "` ry / r"; � � .i.�� i � :i ,,,,.4�: j; ' i t � ^; •:1 <,.� tt � H ' a � 1 .� .. 4 � - � � : � ' �. � � , �, r : �� ;, , � ':� _� < < �.�4. �, � , E�,� `-� � �c� :w+ �+ ��f° � � �. 3 � ,r_ �"._ ..i ....� ,.} .... �; � �. _ . F 1 r •`S F. ' ,`` I — t:4: r .' 1 .�l_— i' ���.���� ����� � °�.: �:�; ! "' '.I ^ - `I. , , `("a� : � , - �:., _ �, _ _. � ��. � � p i '` �.-,..,>--_°"' , � ` '"'"� h �„�' ��'„� � o`A.;, e ,� '" : o,..ra :. 4 r-�- p# `� � i `y�"'l;k t i 6 t �t ., i' � (k� � ��- g �,.. , 2X I ox 2 Ck�,�l�a`�:,�- � �- �a _ - �� � . �� 4,. ,, � '� � T j !�. , � - . .. . , .: . :_ _.. _ �, _. � - [ �� . 4� t �� - . � ' .. j' 2acf b «�` � Soi $�'S �- i t t ,� ;� - _, � ;; _ �:. �.-: ;.- �ro. t ���", � .�--,� ,�g��.� co�d.' � I, �t ��� � �". , . � -_ . .. , ..i . � `• -_.��: Cs t �F„ �� r .�� ("�i �,:, Oti�' !c. ��" �'_,C�.. ��a����,,� ` �;`-� ''``. �.`.�'t' �' 4 � _ �,�.� n� �r�,�� �, �.. �; z� �..� - � .. �. � ��� s� �, cr,��+r�r;c-•, r �---- j( � ` �� OV�L�%- Vl 1�4� �r,,,o: � � Wt.� ta � � � � �.f�..�� .. �''� � f_. ' �"'�i��=�6 ���� C�' � �F � P . � ,� � .. �� , � � �,;�� � .� �',p � �` � �� , � 6 ,. , , ., < ti 4 � , � �. � �. �=.,(" � �°'S�{ u�i �::.. G�'.� ,1 ��_� � � ° �-�t � t'�. � ! i «� a `, � �,:: . r�.� . � 1 ��- � , �`• � �- °°�t � � � , ; . � ., �. ,r� , { ,, , �f ;1 i.4[�, "' � ,°' 1�{ 'k ¢ � . .�� t� k::� 4.1'4 t.::•� �" ��C..�:,,� `1 i'.�'"�,�L .,t�[ ...�i��` �. � � : €,. .. j � � � �.,_:, � �fr.. 4 1't-� ' i E � �^' . e a .a �, . - . � � R � ( ��� \'� � i�� �: � �{. �i �,, t `", �� °.�,•� �,�`. ��,'�'; � � �'i � �� �. t, ��L 4;L��� ���~4`'�' ��:� �c� � � t� �� `.� � ..� � � � ;° ;i p� t1 E'� E,. "� � _ / �� C_' a�1� � 2 �J _ ^� �C Q �� ` � � . P� s at�s� 1�� ` ���� � �,�,,,�-�z� , ) � S� K /�/�.�� \ ��� � ��' • � ! � . •T • - V . . �„ � � �� [ . , � � g � �� �� � �F�. � � t�<�.. �;jy iv:� �._ `� � ,._�" � - . �.._� , • .. _. _ _..__ � .,_ - - � • -� —.. . . _ _ — - �.- ? 7 , �' s .= ; ,. �. , �-�-_----°— - -�E Y , � t +� _ _ . . .. . _ � ^ , __ . z._ _ _ .�. : . ; p s , t €`_. ° � t , .._ --�_ � � - . C � � .. -. . . . �,�.�, r : I . .. 4 �; r - � t. �S"? �"�, I'..... � �4 'Y`'�. � � zr -. -" _ $ q S',� �'6c..:-a. t � _ •. � � -. a �' . ��..; \` r ; h _ -` . _ _ - -- . — ..,.. ,_.... _ _ ,.:.._ . : ... ,�L .. . _ s,� -..,�...._.._ �� �'��r�' e� �.w ���pCi�-i' ��G�' ��.:'�, tt � , �,.x „3 ► a F� : b •. ��„' , � � ��S�x � ' € t S � , <: a �+ ' -, { � � v't � r F �tf'`F t' �� t � � 4� � f.. �'.' I . F x rT '�\ � i� �. . h 4�, �..... k " } � � eF- .x . ¢ �n � ,.o 6. _ . �. ,:-� . � �,, . r � ` i�n `��' Y "s ' mc=;;; , :. ��.`� ' � r . ' `} � ' e; ��r+�',. . \, - ��_,_-._...t .` , ; .�r,, t• ��`'.",s , € . a.-s.. ' ' . f..- '� 1� ;,t.. 4 , , , Ar` � r $ : � � � �� Er� � � 3 �� � � l � � �,;,_,_...�.�' _ �y.-� `' -- -` �t �j� 2f �N �1�4- � Gvl�. � : W1t�.J � �� w �r � � k 4 �C¢ r��� �S Z C� o` C , ..�.�__�__��__ �t } g� � � �� � ��, � � M i � p t . � . � � : [ ; - t S'-i . . t � A� , c���6 `� � ��` � � ". �� : -�t;� � -�3 .` , , t' . ti� C} � _ �, , C'�� tm �`` !; ` f � �' ` , 4 � � � ��c� �r�ati " ` `� � E '� � �'� i f k " ` ;.� 7 �`a�'? � �� �"�� ' e � � .� ` l.�E�k.:i _-�t Y�`''k� i. . €: ���< ��s�` ��.t<rr�. �* ,�` ,� �+ � . �' ' - "°.� � k e• �:;�. aR'`",,}. w��' �_"'�"�, Qt?,��,'� 4�g �..�. � .a+ ,- ` . y i: �r � , � , �, ; �. ..._ .., _ . ��.. . _ • t— �._,�. . ,. �k „�"' � . .. . = F � � ,`.� k,�g' .. � �p:'!, �..�'t._' } s„�i_ . . . . ¢ L` � �. .. . � K 1 � j� /- r _�� . �, � ` �' L�i' 4.1.�i�1\°c ..`'lt,-- .A . 1 .-..'^�..H... :t f��j ����K �' �� r � 4,, r!' 3°{ g a'I !��g�.. a a- � � r''E Y ���'-i l. z � .W�" :.'S` ` f., 6 -' l„i't_, ... t 4. '' ��, . '�i.. �, b .. } � 4 `y .i q�'`5,,('" y'�+�, E� � k pTM� �}I (�`� ,>� :§ � � 4.CC �' ...�^'y� ` � ��i'���� C�. •,.�.^�'�: �� �w't''� .�..�� �� pN� �� ,` ��i.� Y F�" � � •4� C � �� � ,.g °. `Q rE a � :� ,.�'"����p. >� d.� �C�-.ew ��. ��� � � � (."..%` t �.� �' 1 �' � � � � d ��- � �� � � �-�=-�M f `�� �� � � t �:► �� ��. .�,,�; a � ��,� '"� �� �t t: �. , �._.. _ . � � "�° ` � ��. �► � , ` _ ,�� � ,� , � �� � � � � � � �? _ ��� ¢-�� y.� a� �y,�9,,.. l� 5 a � ��� �. „"" � `�j rk �`f t �F ..-. ..'.. ., f i. � _ .,�� 1 " �t �'. � � . . �... a. . Y. � _ i e� „�- `' Z, i ,> -' `1`� � �', � � f ... `�y t e � _ t ��� � f . �': �", �i,�. r t, c.A:: 1 1 � , � ?.�e ��S , �trrJ � _ ��,,��,Z( `�rc�' ;C 1 . . ^' � (�a� �h'�, b �� ,: . , � � ` L..� t�'� � t ��'w��` � "i�. - i 1rJ � � ``-�✓ � .r � � ! ._.... { ., ,w� s_, , �^ 1 { �.".. -. .. l i - `�" 5 �. �".f { . •� t ° : � e l j � � f � * :r �� ..._-�� � - _ N 4 "...c,. ;. �:.. ... . . . 4 R� . . .� F.. � ,.. . . . �i.. .. _ . ._ . .v,. �F . ' ,.. ' R .`+tk+. Y�: � . . �; f.�...,, `�r; +C� �,;. � i{ � �� ,�'� `_,� ti. k. �.,' , v�_� �1 �'tt'�:r^d .GS � � � ��[� +a►, � � > � ��� � � � ��P� �`(Pz h�. �� . 9 j { ,� t ,�,i. �;"„0..,�`A �C 1..�.:.c � > � ,A .__ .� r� _ ____...:_�_.� ___ _ _--- . . . __ . . _ _— - �� � �'j � � ._ a , � _.__ . . . , � _ . , . �—� _�� y . _ _ s F , . j � ' � t ',� � �. �__— -��.� �� c���.� � ' �.� � :�� � �. ; ! � �. � ,�.,�.y... �c t� ��°� `` # ' � `�P�'�4��� `" . v►�CB�asi-?2 , , {, ; : !l �F'�4,.,./'"�ti„ w'�'1•'r r'�� fi ..+�� �� r., G, 0 V`n„r� �+� 4� rr'S�"� x'�' � � `k j:..` �'i , �i ' � � f { 11 , � � ' � . , , - , w " : �� � , � , � '� Ca � ^ � ' � _ _ r �._ :.��: .� _�,»- ---. . ,. .. _ _ � . ...,..,.._.,..__ .� �..,- .... �..,, , � — �.,-,-,-,--• :�: : ic . ��.,. _« ._.. . . . . i.. + � . � r e� _ �r� pa:° ' . .F. .. . . � . : .,,.awm-.- ,...-,.�:...,� _..-.». _ _ .., ..�- -. . _..... .,...... 4�.�` . . +�,�..,....�.... �.w,�;.....-r�..._.....r_.. .. �-..�-�.�.. .� ..;..: . .,� ` ` �' � �. `�`" .._ . _ . . y,� �� �.�,: � �..: ._ _. _.�._. .:_..__.._ . ..... _�-. :_ - �,^,,. . +�`_,� ;.� � �. �: � �:. � _. . � _. . _ -- ``'�._ . �_ _ p . rs,* G 9. � .r'� `'� �"� . r , � � �.. '(�i.�1, � �� Y �c` �"_�� �' � �'� � ��t,� � � �.� � t,c�'�`� ' � � � ,�.� y �:'' � W� � ' f , � .� . �.,,s-..4�: "�"'� ;.� � � ^1 ���� .-�A .� , '`-{,� > � 4 � � :S �� �. � �° �! � at �`�� ` � S � t � � �� �� �. �f , ./� r , � �,/'" � , ,�:. �, �� �., '.,.�^ / �- __ . � �..._:,._,,.�\ _ `, � � � •, r+. i' �` . � ��� ` r /.. r ; `� J _' . �,� ti , ��/� � y � �� �� i � '�'�t7r �iZ �� J� ;�y� 1� ^,i .-.�'�•..J �;�!'t r^�!� � '� Q�✓� :�J%(.t�_C`!`;2�;. � �� � �, �,?!`.f. .�s�.'w � r4..,,v, . � J � (.��l ✓'���/��/ / 4 S t��"` '°�_.. . . i�^�� �'. �; �� y` (`..� � �. 1 �/ . I . . � ." { �' i � �� �.. ��/��!� � ', � . � . . ,�{ . , ! � �'"- ,� t ` l ` �� ,; ,--,�� � , � ��j „ �,� i� t � . ' �i � f�' kr f "}-`�'.,i`� . �.L^� � �J''�...� �I'!/.+i! �. � j,� (7C� ...'I'`. F� ; +� , ' -. . ._ — _.- _ �.s:.--��— —: ` `" — f � � / S '.' _� �. �� �O � S� y � z ���� � � ; � ' �� � ` ) � � \��,,� 9 r;,T. Pc�;°`'` � � � � S � � � ; �4 � ; � . � ,, $' � ; ;.� � . 't-y., '! +� rs'. �; �;,�..-�. r� ! �� � � r � �;: i v E ' f � ;; ?' � � i;' ;,. ; _ � i }� , � : ' a E ' ` ; @ � � � �,,., � ps y.-� � ` � ( -i X `.Q 1/��.�''�,f l�r, f . . � . � Xn . . i- " � _'" ....�_.. �, �, l � �� _. � � ; � ,. , , _, � , �i � - �..- ; .-. s.�. , �, � ,-,.-� �-, � ��. � , ,'.,,,,= _, �. J� _ '- �� .;��. - r . ,. �/ � � "'� /� '�. � � �, � r`�,,,; � / �, i l�i d�� .,2i'� � f ,.. . � 2 .__... �...�.- ��.. �� � � / r • . _. . _:. .. _ ... ,.1, �+...-........_., r f .. , .._.�.- � ., � __�_ 1 .�. .... ... I �-.�_ �4_ __ .._ - �. _._. l ; " . , _._ _.__ . -- ---- -� .__.� r __ _._ _.....__., ._�... �., .-'�-• - � _ , �l � ��,d� d +s�- �.yt.l � i �t��"e � ,*—� �,, � � . ..� . �N . . ' � „ ,, �- ��- �D ��v�� �� ��� y 5? t� 3 ' Z,..x � v ��..-� I��-� {'or� � ��� 0 �